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BMJ Case Reports 2017; doi:10.1136/bcr-2017-223341
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Atrial myxoma: an unusual aetiology for exertional dyspnoea and palpitation

  1. Dale Adler3
  1. 1Harvard Medical School, Boston, Massachusetts, USA
  2. 2Department of Pathology, Brigham and Women’s Hospital, Boston, Massachusetts, USA
  3. 3Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA
  1. Correspondence to Omar Gutierrez, jose_gutierrez{at}hms.harvard.edu
  • Accepted 24 November 2017
  • Published 2 December 2017

Description

A 67-year-old woman had recently emigrated from the Dominican Republic where, many years prior, she had been evaluated for ‘tachycardias’ and had unrevealing monitors. She was well until 6 months prior to admission when she started to experience unpredictable, generally exertional palpitations, dyspnoea and left arm discomfort. There was no history of antecedent anxiety. Examination was notable for a 3/6 systolic murmur heard from apex to base and radiating to the neck that ultimately decreased with Valsalva manoeuvre, consistent with aortic sclerosis that was also seen on her echocardiogram. ECG showed …

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